Professional Coding Auditor

Job not on LinkedIn

🔥 6 minutes ago

🏈 Alabama, Florida, +12 more states – Remote

🏈 Alabama – Remote 🐊 Florida – Remote 🌽 Illinois – Remote ⚜️ Louisiana – Remote 🗻 New Hampshire – Remote 🌲 North Carolina – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🌴 South Carolina – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🧀 Wisconsin – Remote

💵 $35 - $43 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

👻 Ghost score 0%

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Emory Healthcare

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🔬 Science

Healthcare • Education • Science

Emory Healthcare is the academic health system of Emory University that brings together research, education and clinical practice to provide comprehensive patient care across Georgia. It operates multiple hospitals and provider locations (noted in their materials as 11 hospital and provider locations across the state) and offers a broad range of services and specialized centers — for example, the Emory Winship Cancer Institute (an NCI-designated Comprehensive Cancer Center), the Emory Brain Health Center, and Heart & Vascular programs. Emory Healthcare emphasizes patient-focused care, advanced therapies, clinical trials, and integrated services such as MyChart patient portal, financial/visitor resources, and specialty centers for oncology, neurology, cardiology, transplant, orthopaedics, and more.

📋 Description

• Ensure the accuracy, completeness, and compliance of medical coding and documentation for professional coding services • Review patient records, clinical documentation, and coded data to identify discrepancies and coding issues • Collaborate with healthcare providers, coders, and compliance teams • Support appropriate reimbursement and mitigate compliance risks through detailed coding reviews • Conduct comprehensive chart reviews to evaluate coding accuracy and documentation quality • Evaluate provider documentation for appropriate coding and regulatory compliance • Participate in routine audits • Provide education and training regarding coding standards and documentation improvement • Analyze coding data to identify trends, improvement opportunities, and compliance risks • Generate detailed audit reports with findings and recommendations • Audit medical coding against ICD-10, CPT, HCPCS, payer guidelines, regulatory requirements, and internal policies • Monitor adherence to CMS guidelines and HIPAA standards and recommend corrective actions • Document audit procedures, results, and issues • Maintain current knowledge of coding guidelines, healthcare regulations, and industry best practices • Participate in workshops, seminars, and continuing education programs as required

🎯 Requirements

• High school diploma or equivalent required • Coding certification through a nationally recognized organization such as AAPC or AHIMA required (CCS-P, CPC, RHIA, RHIT, CCS, CPC-H) • Two years of experience in a medical billing or coding office required • Equivalent combinations of education and experience may be considered • Two years of post-secondary education in a business or medical-related field preferred • Medical management experience preferred • Minimum of two years of experience working in a medical billing, coding, or healthcare revenue cycle environment preferred • Experience with medical coding, auditing, or chart review in a healthcare setting preferred • Familiarity with electronic health record (EHR) systems preferred • Strong knowledge of medical terminology, anatomy, and coding systems • Strong written and verbal communication skills • Thorough understanding of healthcare regulations and compliance standards • Excellent attention to detail and accuracy in documentation review • Ability to analyze coding data and identify discrepancies or improvement opportunities • Applicants must be physically located and authorized to work in Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hampshire, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, or Wisconsin

🏖️ Benefits

• Comprehensive health benefits that start day 1 • Student Loan Repayment Assistance & Reimbursement Programs • Family-focused benefits • Wellness incentives • Ongoing mentorship, development, leadership programs

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